Individual
TAMMY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
611 SHERMAN AVE E, FORT ATKINSON, WI 53538-1960
(920) 568-5177
Mailing address
W5996 GEHLER RD, JEFFERSON, WI 53549-9644
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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